Outcomes after hysterectomy for pelvic pain in women younger than age 40 compared to older than age 40
CANSAGE ePoster Library. Lee C. 09/26/19; 275267; eP-134
Caroline Lee
Caroline Lee
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Abstract
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Objectives: To compare pelvic pain and quality-of-life outcomes after hysterectomies in women age < 40 compared age ≥ 40. Methods: We completed a prospective research cohort study of patients presenting to a tertiary referral centre in Vancouver, BC between December 2013 and July 2016. Chronic pelvic pain (differentiated from dysmenorrhea or dyspareunia) was determined at baseline, 1-year, and 2-years on a patient-reported numeric rating scale (0-10). The Endometriosis Health Profile (EHP)-30 questionnaire functional pain scale (0-100% where lower scores indicate better quality-of-life) was determined similarly.Results: A total of 180 patients underwent a hysterectomy, of which 96 (53%) were <40 and 84 (47%) ≥40 years of age. There was no difference in self-reported chronic pelvic pain between the two groups at baseline (7 vs. 7, p=0.84), 1-year (6 vs. 5, p=0.23), and 2-years (5 vs. 7, p=0.17). For quality of life, there was a significant difference in EHP-30 scores at baseline (60% vs. 53%, p=0.08). No difference was identified at 1-year (24% vs. 19%, p=0.25) and 2-years (25% vs. 20%, p=0.55). Both groups demonstrated a statistically significant decline in EHP-30 scores at 1- and 2-years compared to baseline. Conclusion: While there was no difference in self-reported chronic pelvic pain scores, hysterectomies were associated with an improvement in quality-of-life in both age groups. The younger group had a lower baseline quality-of-life but this difference was not seen at 1- or 2-years. Improvements in quality-of-life may be the result of the elimination of dysmenorrhea.
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